Can A Steroid Stop Back Pain?
Low back pain (LBP) is a condition that has many origins. Regardless of the source of the ailment, LBP can severely impact the quality of life. This chronic pain can limit social interaction, increase sick days at work, and lead to more health problems. There are different treatment options available, with the last resort being surgery. While surgery is effective, more patients are opting for epidural steroid injections to treat LBP. With an epidural steroid injection, patients can enjoy long-term relief.
Understanding low back pain
People typically experience low back pain as a localized dull, sharp, or even debilitating pain in the lower back. The pain can be intermittent or continuous, significantly impacting daily activities. Some cases of LBP are muscle-related, resulting from strains or ligament sprains from heavy lifting, athletic injuries, or poor posture. However, most cases are spine-related. The spine consists of nerves, bones, and intervertebral discs. If there is damage, arthritis, or disruption of the nerves, LBP can ensue. Common spinal conditions include degenerated discs, herniated discs, spinal stenosis, and spondylolisthesis. The conditions press on nearby nerves, causing lower back discomfort, stiffness, weakness, and damage to extremities.
Impact and treatment
Lower back pain can have a significant impact on daily life. For many, back pain disrupts sleep, mobility, work, and physical activity. There is also severe emotional strain as many people cannot control the pain. A doctor or orthopedic surgeon can help. Initial treatment includes physical therapy (PT) and over-the-counter (OTC) pain medication. Some patients also benefit from stronger prescribed opioids. Other useful treatment options include platelet-rich plasma (PRP), massage, acupuncture, and supplements. Surgery, which involves removing part of the bone or damaged disc, is typically seen as a last resort.
Next level help with steroid injections
When treating LBP, a doctor may suggest epidural steroid injections. This procedure is a combination of steroids and anesthetic to help relieve pain. The medication is injected into the epidural space, a small opening between the bone and spinal cord. Once the medication reaches the area, the anesthetic numbs immediate pain. The steroid limits communication between the nerves and the brain. Epidural spinal injections have been used for years, and studies show that the procedure has a high success rate.
Can an epidural replace surgery?
The injection helps patients who wish to avoid surgery. While surgery is effective, patients often delay operations due to a lengthy recovery period or the risk of complications. Epidurals are a useful alternative as people may experience similar relief. However, there are limitations. The epidural injection will only be effective for several months. The length of relief also varies from person to person. On average, patients will need up to 3 injections yearly, and the effectiveness can decrease over time. Like any procedure, there are risks, such as infection, nerve damage, bleeding, and allergic reactions. Despite the risks, the benefits are fantastic and far outweigh the possible complications.
Don’t hesitate to get help
Lower back pain can be debilitating, with some individuals unable to get the condition under control. Anyone with LBP should get help quickly, and steroid injections can provide long-term relief. There are cases where surgery is necessary. However, epidurals can delay any surgical procedures for as long as possible.
